Cash Back MasterCard® Credit Application

Information marked with an * is required to submit.

Tell Us About Yourself

Additional Information
Employment Information

Note: By adding a co-applicant, each applicant will have the right to use the account to the extent of the credit limit on the account and will be liable for all credit extended under the account to any co-applicant.
Balance Transfers
First Balance Transfer
Second Balance Transfer
Third Balance Transfer
Authorized User
Applicant Notes
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Consent can be withdrawn at any time by contacting Collabria by phone at 1.855.341.4643, by mail at PO Box 82029 RPO Connaught, Calgary, AB T2R 0X1 or by email at

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Terms & Conditions
Please use the scroll bar on the right to view the entire Terms and Conditions. If you are unable to view the following Terms and Conditions, please click here. Print Terms and Conditions
  • Everything I have stated in my application is true and correct.
  • My personal credit history is clear of bankruptcies within the past 36 months.
  • I have read and agree to all the pricing and other terms in the Terms and Conditions and here
  • The terms of my account are subject to change.
  • I consent to the collection of device-identifying data by a trusted partner.
  • I acknowledge that any owner of the account, its servicers, successors and assigns, may verify or reverify any information contained in this application or obtain any information or data relating to the account, for any legitimate business purpose through any source, including a source named in this application or a consumer reporting agency.
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